Application for Employment   

Please read the following instructions carefully before completing the application.

Pop-up blocker must be turned off prior to submitting application.

It is important that you answer all items on this application.  Please take time to list pertinent information carefully and completely.  Failure to do so may prevent consideration for a position for which you are qualified.  It is your responsibility to inform of us of all education and experience related to the job for which you are applying.  Make sure you have also completed information on your references.  Informing management about where to locate references is the responsibility of the applicant.  If additional space is needed, you may continue in the same format on a blank sheet of paper. 

All information provided by the applicant on this form is subject to verification and, by submitting an application, the applicant authorizes the school to review the information provided.  Inability on our part to confirm statements made by you may prevent consideration for employment. 

We take affirmative action to comply with all applicable laws of local, state and federal governments regarding employment practices which prohibit discrimination in employment based on religion, color, sex, age, national origin, disability or other characteristics prohibited by law. 

Personal Information

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

Please enter your Social Security Number:

Please select employment desired:

Please select one:

Please provide date available for work:

Education

High School:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country

Colleges and Universities:

College/University #1

Name of school
Years attended
Major Field
   
Hours of Credit
Degree
Date Received

College/University #2

Name of school
Years Attended
Major field

Hours of Credit
Degree
Date Received

College/University #3

Name of school
Years Attended
Major field

Hours of Credit
Degree
Date Received

Certifications (must be completed in detail):

Credentials
Area of Study
Hours of credit

Emphasis
Date Received

Credentials #2

Credentials
Area of Study

Hours of Credit
Emphasis
Date Received

Credentials #3

Credentials
Area of Study

Hours of Credit
Emphasis
Date Received

Please list all courses, volunteers work, hobbies or interests that would relate to the position desired (i.e., CPR Certification, First Aid, etc.).

Please list any professional organizations in which you are active:

Are you currently employed?

If so, may I contact your current employer?

Employment History

Please list last three employers, starting with the most recent.

Name of Employer (#1):

Position

Address:

Supervisor:

Telephone Number:

Length of Employment

Please list your reasons for leaving:

Name of Employer #2

Position:

Address:

Supervisor

Telephone Number

Length of Time Employed


Please list your reasons for leaving:

Name of Employer #3

Position

Address


Supervisor

Telephone Number

Length of time employed:

Please list reasons for leaving:

References

Please list three.

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone

Enter length of time known:

Reference #2

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone

Enter length of time known:

Reference #3

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone

Enter length of time known:

Have you ever been convicted of, or pled guilty or no contest to a felony?

If you have, please provide details below:

Are any of your relatives employed by Terrace Community Middle School?

Are you 18 years of age or older?

Are you eligible for employment in the United States?

If applicable, please specify the type of visa you hold, if required:

In the space provided below, please write a short essay on your pedagogy for preparing middle school students for our 21st century:

 

It is understood and agreed that any misrepresentation or deliberate omissions by me in this application shall be sufficient cause for separation from Terrace Community Middle School, and give them the right to investigate references and to secure additional job-related information about me.

If I receive an offer of employment, I must be fingerprinted by the Hillsborough County School Board in order to be an employee of Terrace Community Middle School

 


Copyright © 2005 Terrace Community Middle School.  All rights reserved.
Revised: 01/24/08